Elevate Health and Rehabilitation

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

34.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 27.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 33 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 47% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 98.3 residents a day — about 82% occupied, or roughly 22 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.26 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.28 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.92 hrs/resident/day on weekends vs 3.38 on weekdays — 14% thinner on weekends. RN hours go from 0.29 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 73% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 15 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-09-02 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews with family, staff, Nurse Practitioner (NP), and Medical Director, the facility failed to prevent significant medication errors when required seizure medication (lacosamide) was not administered during the timeframe of 1/10/25 to 1/14/25 as a result of the medication not being available from the pharmacy. Resident #98 was ordered lacosamide twice daily. The medication supply was depleted and it was not administered as ordered on 1/10/25, 1/11/25, and the morning dose on 1/12/25. On the afternoon of 1/12/25 the lacosamide order was put on hold for two days for the documented reason of hold until pharmacy arrival. On the morning of 1/14/25 an additional hold order was entered into the medical record for the time period of one day with no documented reason noted on the order. That same morning (1/14/25) Resident #98 experienced a seizure at the facility. She was administered intramuscular (IM) Ativan (medication used to treat seizures) with no effect. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Immediate jeopardy · K2024-08-07 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, staff, and Medical Director (MD) interviews, the facility failed to notify the physician of a Urologist appointment on 5/16/24 for Resident #53 that resulted in an order for a CT (computed tomography) scan for renal stones (small, hard deposit that forms in kidneys) and a follow-up appointment following the CT scan to determine treatment which included surgery for removal of renal stones and right ureteral (tubes composed of smooth muscle that transport urine from the kidneys to the urinary bladder) stent exchange (procedure that replaces an existing stent with a new one) not being completed. Resident #53 experienced and was treated for urinary tract infections (UTI) and on-going hematuria (blood in urine) while waiting to see the urologist. Resident #53's prolonged treatment for his renal stones made him susceptible to persistent kidney obstruction, which could cause permanent kidney damage and a higher risk for sepsis (bodies improper response to an infection). This deficient practice…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-08-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with staff, Nurse Practitioner (NP), Medical Director, urology office staff, and the Urologist the facility failed to follow an order from a Urologist appointment on 5/16/24 for a CT (computed tomography) scan for ureteral stones and a follow-up appointment following the CT scan to determine treatment which included surgery for removal of ureteral stones and right ureteral stent exchange for Resident #53. Resident #53 was previously hospitalized for obstructing ureteral stones (kidney stones that get stuck in tubes composed of smooth muscle that transport the urine from the kidneys to the bladder) with hydronephrosis (swelling of one or both kidneys due to urine build up), urinary tract infection (UTI), and sepsis (a serious condition in which the body responds improperly to an infection). Resident #53 also had a stent (a small tube placed in the ureter that allows the urine to drain) placed for renal stone obstruction on 4/19/24 and returned to the facility on 4/25/24. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-08-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff, Nurse Practitioner, Medical Director, and Podiatrist interviews the facility failed to apply the ordered dressing for a resident (Resident #31) with diabetic foot ulcers when the Treatment Nurse Aide (NA) applied a Coban 2 two-layer compression system (a two layer system: a Comfort Foam Layer (Layer 1) and a Compression Layer (Layer 2) that provides therapeutic compression) to Resident #31's feet instead of using regular Coban (a self-adherent wrap). Resident #31 experienced the toes on his right foot turning purple after the right foot dressing was applied by the Treatment NA and dusky gray skin discoloration under the left foot dressing when the dressing was removed. Had the dressing been left in place, there was a high likelihood for blood circulation problems, vessel blockage or development of new wounds. In addition, the facility failed to perform wound assessments for Resident #31 who had diabetic foot ulcers and failed to obtain treatment orders for a new…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-04-10 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and interviews with resident, staff and Medical Director, the facility failed to prevent a significant medication error when Nurse #1 administered medications to Resident #1 prescribed for Resident #2 which included Risperidone (antipsychotic medication), Furosemide (a medication used to treat fluid retention and swelling), Lisinopril (a medication used to treat hypertension), and Amlodipine (a medication used to treat hypertension). Nurse #1 identified the error and Resident #1 was sent to the emergency department (ED) on 2/17/24 for further evaluation due to elevated heart rate and hypotension (low blood pressure). While in the ED, Resident #1 complained of having chest pain and feeling weak. An electrocardiogram showed normal sinus rhythm with prolonged QT interval 5-7 seconds (irregular heart rhythm where it takes longer than usual for the heart to recharge between beats). She was given two liters of normal saline bolus and calcium gluconate (medication used to manage hypocalcemia or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-22 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, observations and staff interviews, the facility failed to follow their infection control policies and procedures for Enhanced Barrier Precautions (EBP) for two residents with chronic wounds when the Treatment Nurse did not wear Personal Protective Equipment while providing wound care for Resident #7 and Resident #8. In addition, the Treatment Nurse failed to change her gloves and perform hand hygiene during wound care. This deficiency occurred for 1 of 3 staff members reviewed for infection control practices (Treatment Nurse).The findings included:A review of the facility's policy titled Enhanced Barrier Precautions, revised on 6/4/25, indicated:Enhanced Barrier Precautions (EBP) referred to an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO) by using gowns and gloves during high-contact resident care activities.High-contact activities included dressing, bathing, transferring, providing hygiene, changing linens or briefs, assisting with toileting, device care or use (central lines, urinary catheters,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-02 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to date, label and store staff food in a nourishment room refrigerator (100-hall). The facility also failed to date an opened container of applesauce and store in a refrigerator (200-hall). This was for 2 of 2 nourishment rooms observed and had the potential to affect food served to residents in the facility. Findings includedOn 8/28/25 at 9:45 AM an observation was conducted in the 100-hall nourishment room with the Dietary Manager. The 100-hall nourishment room refrigerator contained 2 personal sized food storage containers located in the door of the refrigerator. The food containers were not labeled or dated with an use by date. The Dietary Manager immediately removed the food containers and stated the food containers belonged to staff and should not have been stored in the nourishment room refrigerator, but in the employee breakroom. The Dietary Manager stated she had checked the refrigerator earlier that morning and the containers were not present then. On 8/28/25 at 9:54 AM the 200-hall nourishment room was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-02 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to remove a petroleum-based lotion from a resident's room that received oxygen which posed a significant fire hazard for 1 of 1 resident reviewed for respiratory care (Resident #20).Findings includedResident #20 was admitted to the facility on [DATE] with diagnoses that included congestive heart failure and chronic respiratory failure.Resident #20 had a physician's order dated 8/4/25 for oxygen via nasal cannula at 2 liters per minute continuously. Resident #20 was care planned on 8/4/25 for requiring the use of oxygen via a nasal cannula at 2 liters per minute continuously. Interventions include assisting the resident with elevating head of bed to facilitate comfort and breathing, encouraging rest periods throughout the day, and provide oxygen via nasal cannula as ordered. A review of Resident #20's significant change Minimum Data Set (MDS) assessment dated [DATE] coded her as cognitively intact and received oxygen during the 7-day look back.On 8/25/25 at 10:35 AM an in-room observation of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and staff, resident, and Nurse Practitioner interviews, the facility failed to obtain a physician's order for a resident who returned from the hospital on continuous oxygen (Resident #3) and the facility also failed to ensure oxygen was delivered at the prescribed rate (Resident #70). These practices occurred for 2 of 2 residents reviewed for respiratory care and services. The finding included: 1. Resident #3 was admitted to the facility on [DATE]. Resident #3 had diagnoses which included chronic respiratory failure with hypoxia, and congestive heart failure (CHF). Review of the care plan dated 08/05/2022 revealed Resident #3 was at risk for respiratory complications secondary to chronic respiratory failure with hypoxia requiring supplemental oxygen. The interventions included administer oxygen as ordered and observed for signs and symptoms of respiratory complications. Review of Resident #3's quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #3 had moderately…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-07 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, staff and pharmacist interviews, the facility failed to secure medications when a Medication Aide (Medication Aide #1) left medication at a resident's (Resident #57) bedside. Furthermore, the facility failed to discard expired medications on 2 of 4 medication carts (200 hall medication cart-2 and 100 hall medication cart-2) reviewed for medication storage and labeling. The findings included: 1. Resident #57 was admitted to the facility on [DATE] with diagnoses that included dementia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #57 was cognitively impaired. On 7/23/24 at 9:00 AM an observation was completed of Resident #57 and his room. Resident #57 was laying in his bed with his bedside table positioned next to his bed. A medication cup was observed sitting on his bedside table with one oblong yellow colored pill in the cup. He had a small plastic cup filled with water sitting next to the medication cup. Resident #57 was unable to say what…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-07 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews the facility failed to label opened foods with a use by date stored for use in 1 of 1 reach-in refrigerators and 1 of 1 walk-in refrigerators. This practice had the potential to affect food served to residents. The findings included: a. On 7/22/24 at 10:20 AM an observation of the reach in refrigerator was conducted with the Cook. The observation revealed a sandwich in a plastic bag, 4 dessert cups, and a cup of fruit cocktail. No label with a date was present on those items. The observation continued to the walk-in refrigerator where there was no label with a date on the following: lettuce wrapped in plastic, open package of shredded cheese, container of unknown ingredients, container of pinto beans, 2 pieces of watermelon wrapped with plastic, container of barley. An interview on 7/25/24 at 10:05 AM with the Interim Dietary Manager revealed that the open foods should be labeled with a use by date 7 days after opening. She stated that she did not know why open foods had not been labeled. An interview on 7/25/24 at 10:33 AM with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-07 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and staff interviews the facility failed to maintain an accurate treatment administration record (TAR) when the Treatment Nurse Aide (NA) used a Nurse's (Nurse #3) login credentials for the electronic medical record to sign off treatments for 1 of 1 resident (Resident #31) reviewed for accurate and complete medical records. The findings included: A review of Resident #31's Treatment Administration Record (TAR) for June 2024 and July 2024 revealed that Resident #31's treatment orders scheduled on the day shift had been signed off as completed using Nurse #3's log in 28 times on the July 2024 TAR and 3 times on the June 2024 TAR. An interview was conducted on 7/24/24 at 1:30 PM with the Treatment NA. The Treatment NA said she was unable to log in to the electronic computer system to access the TAR. The Treatment NA said that there had been a mistake when her login for the electronic computer had been created and that she was unable to log in to the system. The Treatment NA said she had been using Nurse #3's log information for the last 3-4 weeks to get into the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-07 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, observations and staff interviews, the facility failed to implement their infection control policy when the Treatment Nurse Aide (NA) did not perform hand hygiene and wore the same pair of gloves while doing wound care for two wounds and incontinence care for Resident #31. In addition, the Treatment NA failed to wear a gown while providing wound care for a resident (Resident #31) who required Enhanced Barrier Precautions (EBP) and did not wear personal protective equipment (PPE) per the facility's policy while doing wound care on Resident #31. The Treatment NA also failed to change her gloves and perform hand hygiene while providing several treaments and wound care for Resident #3. The Treament NA touched the resident, several surfaces in the room, and obtained supplies from the treament cart wearing the soiled gloves. In addition, Nurse #1 did not perform hand hygiene after removing soiled dressings with drainage and before donning new gloves to cleanse the wound for Resident #10. These deficient practices affected 3 of 3 residents reviewed for infection…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interviews, the facility failed to protect the private health information for 1 of 1 sampled resident by leaving confidential medical information unattended in an area accessible to the public (Resident #45). The findings included: Resident #45 was admitted to the facility on [DATE]. A continuous observation was made on 07/23/24 from 2:09 PM through 2:12 PM of an unattended wound care cart on the lower 200 hall. The Treatment Nurse Aide left the wound care cart unattended with the Treatment Administration Records (TAR) of Resident #45 visible on the wound care cart's computer screen. The screen showed the name and the picture of Resident #45. The surveyor could easily access information related to her current medications and other private health information. The unattended computer was accessible by anyone passing by the wound care cart. During an interview with the Treatment Nurse Aide on 07/23/24 at 2:15 PM, she explained while she was looking for Resident #45 to provide wound…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff and Nurse Practitioner interviews, the facility failed to follow physician orders for 2 of 3 wounds (pressure ulcer of the coccyx and pressure ulcer of the back) for 1 of 2 residents reviewed for wound care (Resident #3). The findings included: Resident #3 was admitted to the facility on [DATE] and readmitted to the facility on [DATE] with diagnoses which included chronic respiratory failure with hypoxia, end stage renal disease (ESRD), epilepsy, diabetes mellitus (DM), and congestive heart failure (CHF). Review of Resident #3's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he had moderately impaired cognition with no behaviors. The MDS also indicated Resident #3 was totally dependent for all activities of daily. The assessment additionally revealed he had three unhealed stage IV pressure ulcers and had a pressure reducing device for bed, nutrition, and hydration interventions to manage skin problems, pressure injury care, and application of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$174,346 in federal fines across 3 penalties.

• $17,345 — penalty dated 2025-09-02
• $139,932 — penalty dated 2024-08-07
• $17,069 — penalty dated 2024-04-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ASCENT HEALTHCARE MANAGEMENT — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.7M paid to related parties — landlords or management companies under common ownership — equal to about 29% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC